Scullion, Jill M

Scullion, Jill M is an individual health care provider with primary practice located at 1118 Falls Rd , Rocky Mount NC 27804-4406. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Scullion, Jill M can be contacted via phone (252) 544-9296.

Contact Information

Primary practice address
1118 Falls Rd Rocky Mount NC 27804-4406
Fax: (833) 658-2615
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2173 North Carolina

Profile Details

NPI number 1063747244
LBN Legal business name Scullion, Jill M
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2009
Last updated Jul 9th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063747244 NPPES
North Carolina MEDICAID 5913404

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